Jorgensen, Michael Gordon
Jorgensen, Michael Gordon is an individual health care provider with primary practice located at 1110 Buckeye Avenue , Ames IA 50010-8063. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jorgensen, Michael Gordon can be contacted via phone (515) 233-9087.Contact Information
Primary practice address
1110 Buckeye Avenue
Ames IA 50010-8063
Phone: (515) 233-9087
Fax: (515) 233-6409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06757 | Iowa |
Profile Details
| NPI number | 1306803267 |
|---|---|
| LBN Legal business name | Jorgensen, Michael Gordon |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Apr 9th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306803267 | NPPES |
| Iowa | MEDICAID | 0451641 | |
| Iowa | Other | I14239 | |
| Iowa | MEDICAID | 0451658 | |
| Iowa | Other | 37766 |
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